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Individual

DR. MARK S JOSOVITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
726 S CHURCH ST, MURFREESBORO, TN 37130-4926
(615) 893-7786
(615) 893-7215
Mailing address
726 S CHURCH ST, MURFREESBORO, TN 37130-4926
(615) 893-7786
(615) 893-7215

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18433
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3822765
TN
01
4079519
BCBS TN PROV #
TN
01
POO103980
RR MEDICARE INDIV #
TN
Enumeration date
10/20/2006
Last updated
12/21/2012
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